Retrospective study of maternal and neonatal outcomes in post-dated pregnancies

Ambika Patil; Arshiya Sultana; Vidya A. Thobbi

doi:10.18203/2320-1770.ijrcog20240471

Authors

Ambika Patil Department of Obstetrics and Gynaecology, Al-Ameen medical college and Hospital, Vijayapur, Karnataka, India
Arshiya Sultana Department of Obstetrics and Gynaecology, Al-Ameen medical college and Hospital, Vijayapur, Karnataka, India
Vidya A. Thobbi Department of Obstetrics and Gynaecology, Al-Ameen medical college and Hospital, Vijayapur, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240471

Keywords:

Postdated, Maternal complications, Perinatal complications, LSCS, Instrumental delivery

Abstract

Background: Postdated pregnancy is one of the most common obstetric conditions. Pregnancy is a term between 37 weeks to 42 weeks from the last menstrual period (LMP). Postdated pregnancy causes specific hazards to both mother and fetus. Hence, we aimed to assess maternal and fetal outcomes in postdated pregnancy.

Methods: A retrospective analysis of twelve months was done in the department of obstetrics and gynaecology at Al-Ameen medical college, Vijaypura, Karnataka, India. Records of 150 postdated pregnancies were taken in the study.

Results: The study, involving 150 cases, revealed diverse baseline characteristics in postdated pregnancies. Predominantly aged 25-30 (70%), with 85.33% reaching 40-41 weeks' gestation, 65.33% were primigravida. Caesarean indications included cephalopelvic disproportion (10.42%) and meconium-stained liquor with fetal distress (37.50%). Complications, notably postpartum haemorrhage (PPH) (46.67%) and fetal meconium aspiration (39.13%) were observed. Neonatal outcomes showed 10% NICU admission, with 93.33% having APGAR scores >7. This abstract offers concise insights into obstetric characteristics and outcomes in postdated pregnancies.

Conclusions: Early intervention in postdated pregnancies reduces maternal and perinatal complications. Managing postdated pregnancies poses challenges, but careful advice and monitoring mitigate untoward outcomes for both mother and baby.

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